connecting care and opening conversations; safeguarding children through child protection...
TRANSCRIPT
UK e-Health Week-20 April 2016
Child Protection – Information Sharing (CP-IS)
Val Nugent SRO CP-IS NHS England
Cathy Sheehan Clinical Lead CP-IS NHS England
Children’s statistics
11.5m children in England under 18 (ONS 2014)
• Nearly 120,000 children have a child protection plan (CPP), pre-birth CPP or are looked after (2014)
Health staff are potentially well-placed to detect where children may be being abused, harmed or neglected.
• Of 18m attendances in ED around 21% are <19 years (2012-13)
Inability to share information is identified as a contributory factor in 60% of serious case reviews.
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The Need: The Protection of Children in England: A
Progress Report (Lord Lamming, March 2009)
Recommendation 12
“The Department for Children, Schools and Families and
Department of Health must strengthen current guidance
and put in place systems and training so that staff in
Accident and Emergency Departments are able to tell if a
child has recently presented at any A & E department and if
a child is subject of a child protection plan”
Focus on the child!
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Legal Context
CP-IS builds on Local Authority and NHS Trust’s existing work to safeguard children and meet legal requirements:
• Children Act (1989/2004)
• Working Together to Safeguard Children (HM Government, 2015)
• Safeguarding Vulnerable People in the NHS-Accountability and Assurance Framework (NHS England, June 2015)
• Information Sharing Advice for practitioners providing safeguarding services to children, young people, parents and carers (HM Government, March 2015)
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CP-IS: A national system
A national system that
connects local authorities’
child social care IT systems
with those used by NHS
unscheduled care settings
(e.g. ED) in England, to
provide better care and
earlier intervention for
children who are considered
‘vulnerable and at risk’
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NHS attendance
Home local authority
CP-IS data flow
Linking health and social care …
• NHS Trusts can see if a child has a child
protection plan (CPP), looked after status, or
is the mother of a child with a CPP, and how
often they have attended for emergency
treatment anywhere in England
• Local authorities have a clear picture of the
number and frequency of a child’s unscheduled
NHS attendances across the whole of
England.
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Benefits for children
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Early detection: CP-IS improves the assessment of 120,000
vulnerable or at risk children in England and enables earlier
intervention to prevent ongoing abuse or neglect.
Closes the information gap: CP-IS builds a picture of a child’s
attendance at unscheduled care settings across their local and
regional boundaries.
Reducing the risks & breaking the cycle: a CP-IS alert with
relevant information and contact details to care teams and
clinicians to promote working together to focus on the needs of the
child and prevent further abuse or harm. Enabling conversations!
Better use of resource: less time is spent searching for and
providing information, freeing up resources to apply elsewhere.
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Social care
Child protection information
entered into social service IT
systems is automatically
submitted to and held securely
on the NHS Spine.
Health
If a child visits unscheduled
care, medical staff will see a
CP-IS alert flag on their screen
if a child they is subject to a
CPP, is a looked after child, or
an unborn child with a CPP.
Social care
The local authority receives an
alert the same day letting them
know the child’s record has
been accessed and the name of
the healthcare worker and
organisation that accessed it.
Health
When they click on the CP-IS
tab, they can view when and
where a child has been seen
previously and contact details of
the local authority looking after
the child.
to build a complete picture.
How CP-IS works – Information Flow
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1. Local Authority record CPP/LAC/UCPP information locally within Social
Care system including NHS Number
2. CPP/LAC/UCPP information is automatically submitted to CP-IS
Children’s services
system
CP-IS Clinical
System
Access History
UploadsQuery
Query responseSocial worker
Healthcare worker
3. NHS user searches child details in clinical system
4. NHS system queries CP-IS and notifies user of CP-IS record for the child
5. Access History Notification is created when NHS user accesses CP-IS
information and this triggers a message back to the Local Authority system
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Local Authority System Example
• Each local authority system will look different. The way the
information is added / displayed will also differ (this is an example
from Calderdale Council CASS children’s system).
• In this example the child’s details have already been added to the
system, the file has been uploaded to the CP-IS database and an
acknowledgement message has been returned and displayed to
the local authority.
Summary Care Record Application Example
• When a child presents to an unscheduled care setting e.g. ED the NHS worker will use their Smartcard and perform a search for the child on the Summary Care Record application (SCRa)
• If the child has a CPP or LAC record, the child care alert tab will be visible, which when clicked upon will display the CP-IS information for that child as entered and uploaded by the local authority (as shown here).
• In addition previous views of the Child Protection Information are logged and displayed to the current viewer (please refer to next slide for an unrelated example)
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Up to the last
25 previous
views of the
child’s CP-IS
information is
listed here
CP IS where we are so far: April 2016
• 28, 054 children’s plans on CP-IS
• 24 Local Authorities live
• 16 NHS Trusts live (across 52 sites)
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Current position – LA, NHS & Number of Children’s Plans
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How we can help Local Authority and NHS Implement CP-IS
• Named point of contact: regional
implementation manager and support
• Guidance and toolkits: project planning
templates; checklists and toolkits
• Virtual and on-site task force: practical
virtual and physical support in your trust.
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Implementing CP-IS
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Stakeholder engagement
Commitment from senior team and Letter of Agreement
Alignment with local authorities, LSCB, CCGs
Technical integration
Review (N3) connection with the Spine
Consider options for integrating and accessing CP-IS
Discuss timeline and support with system suppliers
Business change
Review business processes in view of CP-IS
Identify people - who will access, where
Consider training needs (how to access and act on information)
Plans reviewed with Information Governance leads
Go live date, testing and assurance and business continuity plans
Measuring and reporting
Baseline audits and reporting of benefits
Find out more and get in touch
• Email- Health and Social Care Information Centre
or call on0300 303 5678
-with a question, to join regional CP-IS Stakeholder Engagement Group meetings
-Visit the website: https://systems.hscic.gov.uk/cpis
• Email-NHS England contact details
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CP-IS and Safe Information Sharing
“When I approach a child, he inspires in me two
sentiments, tenderness for what he is and
respect for what he may become.”Louis Pasteur
Thank you for listening-Any Questions?
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